Lens extraction for chronic angle-closure glaucoma

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The role of clear lens extraction in angle closure glaucoma

Clear lens extraction can be considered a therapeutic option in angle closure glaucoma (ACG). Even if it does not represent the first choice of treatment, it can be taken into consideration when the topical treatment does not control the intraocular pressure (IOP) and iridotomy does not have a positive effect on the angle closure, especially in appositional angle closure when biometry or ultrab...

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Lens extraction in primary angle closure.

T he crystalline lens has a pivotal role in primary angle closure (PAC), both in the pathogenesis of pupil block and by exacerbating the effect of non-pupil block mechanisms such as peripheral iris crowding. Eyes with angle closure tend to have shallow anterior chambers and thick, anteriorly positioned lenses when compared with normal eyes. Removing the lens creates more space in the anterior c...

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Surgical management of chronic angle-closure glaucoma

Chronic angle-closure glaucoma is a major cause of blindness, particularly in Asia. The goals of management are to prevent both progression of anatomic angle-closure and progression of glaucomatous optic neuropathy, the latter by controlling intraocular pressure. Laser iridotomy to eliminate pupillary block is the definitive initial treatment and laser peripheral iridoplasty is the second-line ...

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Gonioscopic Features in Patients with Acute and Chronic Angle-Closure Glaucoma

Background: A number of ocular biometric parameters, iris hiotologic and anatomic characters have been suggested as inciting factors for converting patients with narrow angle to angle-closure glaucoma. This study was conducted to determine if there was any goniscopic difference between patients with acute angle-closure glaucoma (AACG) and chronic angle-closure glaucoma (CACG). Methods: ...

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Clear-lens extraction as a treatment for primary angle closure

Glaucoma is a multifactorial spectrum of diseases in which progressive optic nerve damage leading to blindness occurs with raised intraocular pressure as the main risk factor. The outfl ow of fl uids through the trabecular meshwork decreases when the iris moves forward and comes into contact with it. This condition is called “angle closure” and can lead to glaucoma damage if intraocular pressur...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2006

ISSN: 1465-1858

DOI: 10.1002/14651858.cd005555.pub2